与心血管康复转诊相关的患者-医疗服务提供者沟通要素
Elements of patient-health-care provider communication related to cardiovascular rehabilitation referral.
作者信息
Pourhabib Sanam, Chessex Caroline, Murray Judy, Grace Sherry L
机构信息
York University, Canada.
University Health Network, Canada.
出版信息
J Health Psychol. 2016 Apr;21(4):468-82. doi: 10.1177/1359105314529319. Epub 2014 Apr 16.
Abstract
Cardiovascular rehabilitation has been designed to decrease the burden of cardiovascular disease. This study described (1) patient-health-care provider interactions regarding cardiovascular rehabilitation and (2) which discussion elements were related to patient referral. This was a prospective study of cardiovascular patients and their health-care providers. Discussion utterances were coded using the Roter Interaction Analysis System. Discussion between 26 health-care providers and 50 patients were recorded. Cardiovascular rehabilitation referral was related to greater health-care provider interactivity (odds ratio = 2.82, 95% confidence interval = 1.01-7.86) and less patient concern and worry (odds ratio = 0.64, 95% confidence interval = 0.45-0.89). Taking time for reciprocal discussion and allaying patient anxiety may promote greater referral.
摘要
心血管康复旨在减轻心血管疾病的负担。本研究描述了（1）患者与医疗服务提供者之间关于心血管康复的互动，以及（2）哪些讨论要素与患者转诊有关。这是一项针对心血管疾病患者及其医疗服务提供者的前瞻性研究。讨论话语使用罗特互动分析系统进行编码。记录了26名医疗服务提供者与50名患者之间的讨论。心血管康复转诊与医疗服务提供者更高的互动性相关（优势比=2.82，95%置信区间=1.01-7.86），与患者更少的担忧相关（优势比=0.64，95%置信区间=0.45-0.89）。花时间进行相互讨论并减轻患者焦虑可能会促进更多的转诊。
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